Medical Enrollment- Customer Service Representative
Salary undisclosed
Apply on
Original
Simplified
Open Enrollment Support - CSO Customer Service Representative
Total Openings: 30
POSITION OVERVIEW
Contract Details
- Start Date: New hire training begins on Monday, December 9, 2024.
- Required Schedules: Full-time, Monday through Friday
- Training: 4-6 weeks from 8:00 AM to 4:30 PM CST
- Long Term: Hours vary between 9:00 AM to 7:00 PM CST
- Note: Saturday shifts (9:00 AM - 1:00 PM CST) may be required with prior notice.
- Assignment Duration: 6 months with a possibility of temporary-to-hire based on performance and availability of permanent openings.
- Starting Salary: $17 per hour
Important Training Notes
- Training includes a virtual classroom environment.
- 100% attendance is required due to the amount of information covered.
- Missing more than 12 hours of training may result in immediate termination.
What You'll Be Doing
- Provide support to health plan members, providers, and their representatives.
- Answer and manage inbound inquiries regarding health plan benefits, claims, eligibility, medical procedures, billing, and payments.
- Conduct outbound and return calls as necessary.
- Ask appropriate questions to identify specific customer needs and provide assistance.
- Communicate tactfully and empathetically to resolve issues and de-escalate stressful situations.
- Meet performance goals in efficiency, accuracy, quality, member satisfaction, and attendance.
- Adhere to department, organization, and regulatory policies and procedures.
The Experience You'll Need
- Required
- High school diploma or GED.
- At least 1 year of call center experience.
- Ability to handle 50-100 calls daily.
- Proficiency in using computers and Microsoft applications.
- Ability to type 35 WPM and learn new computer programs.
- Flexibility to adjust daily schedule and work overtime or weekends as needed.
- Strong listening and problem-solving skills.
- Ability to maintain strict confidentiality of protected health information.
- Preferred
- 2+ years of experience in a health plan, TPA, or related call center setting.
- Knowledge of managed care, Commercial, Marketplace, Medicaid, and Medicare programs.
- Bilingual in Spanish and English (bilingual assessment required for a $0.50 differential in pay).
At Home Workspace Requirements
- Quiet, private workspace free from noise and distractions.
- Must maintain privacy and security to protect HIPAA and PHI information.
- Working remotely in public places or outside the country is not allowed.
- Pre-approval is required for any changes to your workspace location.
Technology Requirements
- A smartphone for accessing Microsoft Multi-Factor Authentication and Microsoft Teams.
- High-speed internet service (100 MBPS fiber optic) with a direct connection to your router via an ethernet cable.
- Use of WIFI on your laptop is not permitted due to compatibility issues with the NICE application.
Similar Jobs